http://www.kevinmd.com/blog/2004/08/why-ebm-wont-fly-in-united-states.html Tue, 14 Feb 2012 22:04:00 +0000 hourly 1 http://www.kevinmd.com/blog/2004/08/why-ebm-wont-fly-in-united-states.html#comment-51645 Kevin Sun, 29 Aug 2004 14:37:00 +0000 http://clients.emmense.com/kevinmd/2004/08/why-ebm-wont-fly-in-the-united-states.html#comment-51645 Completely agree. There are two worlds out there: the "ideal", evidence-based world and the "real world" (sounds like a scene from "The Matrix"). More on this from a previous post: http://www.kevinmd.com/blog/2004/06/ideal-medicine-vs-real-life-medicine.html Completely agree. There are two worlds out there: the “ideal”, evidence-based world and the “real world” (sounds like a scene from “The Matrix”). More on this from a previous post: http://www.kevinmd.com/blog/2004/06/ideal-medicine-vs-real-life-medicine.html

]]> http://www.kevinmd.com/blog/2004/08/why-ebm-wont-fly-in-united-states.html#comment-51644 kittykitty! Sun, 29 Aug 2004 14:20:00 +0000 http://clients.emmense.com/kevinmd/2004/08/why-ebm-wont-fly-in-the-united-states.html#comment-51644 Yeah, I trained at the University of Rochester, which is big in EBM. We were always looking at the evidence and the 2 x 2 tables and deciding how cost effective this or that was. . . then I went to practice on my own in the real world. I found myself doing the mammos on 40 year old women, even though the EVIDENCE said start screening at 50, because community standards were different where I lived and my threshold for getting sued and a fullblown panic attack was pretty low. . . It's different in the WORLD. Yeah, I trained at the University of Rochester, which is big in EBM. We were always looking at the evidence and the 2 x 2 tables and deciding how cost effective this or that was. . . then I went to practice on my own in the real world. I found myself doing the mammos on 40 year old women, even though the EVIDENCE said start screening at 50, because community standards were different where I lived and my threshold for getting sued and a fullblown panic attack was pretty low. . . It’s different in the WORLD.

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